DARCIE L WALLACE

SAINT LOUIS, MO
NPI1083648489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MO  118539)
Enumeration Date2006-07-10
Last Update Date2014-10-22
Business Address
-- DARCIE L WALLACE PA-C
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
Mailing Address
-- DARCIE L WALLACE PA-C
PO BOX 180575
SAINT LOUIS, MO 63150-3511
Phone number: 314-251-6000
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